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General NPI Number Information
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NPI Number | 1053643007
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Entity Type | Individual
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Provider Name | WILLIAM ROBERT CRAIG M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/02/2010
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Last Update Date | 10/19/2016
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Provider Practice Location Address
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Address Line | 75 PRINGLE WAY STE 601
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City | RENO
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State | NV
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Zip | 89502-1464
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Country | US
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Telephone | 775-982-5000
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Fax | 775-982-3900
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Provider Business Mailing Address
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Address Line | 780 KUENZLI ST STE 202
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City | RENO
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State | NV
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Zip | 89502-0837
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Country | US
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Telephone | 775-982-5262
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Fax | 775-982-5496
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | MD09249
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 14202
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 14202
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License Number State | NV
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